Document Detail


Mycotic carotid aneurysm.
MedLine Citation:
PMID:  3298700     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Mycotic aneurysms of the extracranial internal carotid artery are rare; they usually appear as an enlarging pulsatile neck mass with associated pain, tenderness, and fever. This case report illustrates the need for prompt diagnosis and urgent surgical intervention. The most common organisms found with these aneurysms have been Staphylococcus aureus and Streptococcus pyogenes. We report a case of a mycotic internal carotid artery aneurysm resulting from Salmonella enteritidis. A 20-year review of both the foreign and English language literature revealed only one other case of a mycotic carotid aneurysm resulting from Salmonella infection. The cornerstone of therapy in the past had been proximal ligation. More recently, primary reconstructive procedures with either an end-to-end anastomosis or an interposition vein graft have been described. The present case was managed with an end-to-end technique with the use of a Pruitt-Inahara shunt.
Authors:
R J Grossi; D Onofrey; C Tvetenstrand; J Blumenthal
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  6     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  1987 Jul 
Date Detail:
Created Date:  1987-08-07     Completed Date:  1987-08-07     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  81-3     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Aneurysm, Infected / radiography,  surgery*
Carotid Arteries / surgery
Carotid Artery Diseases / radiography,  surgery*
Carotid Artery, Internal / radiography,  surgery
Female
Humans
Rupture, Spontaneous
Salmonella Infections / surgery*
Salmonella enteritidis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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